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Shereen Pradeep Kumar
significant decrease in the operative blood transfusion 8. Brumsted J, Kessler E, Gibon E, et al. A comparison of
rate in those who underwent laparoscopy. Similar were laparoscopy and laparotomy for the treatment of ectopic
pregnancy. Obstet Gynecol 1988;71:889-902.
the results in several other studies. 9,10,14,18 These articles 9. Vermesh M, Silva PD, Rosen GF, et al. Management of
have also showed that postoperatively the requirement unruptured ectopic gestation by linear salpingectomy a
for analgesics was significantly less. 8,14 prospective randomized clinical trial of laparoscopy versus
• Hospital stay: All the studies here have reported a much laparotomy. Obstet Gynecol 1989:73:400-04.
shorter hospital stay following laparoscopic surgery and 10. El-Tabbakh MN, Elsays MS. Tubal ectopic pregnancy:
there for proves to be cost effective. 8-11,14,17,18 Laparoscopy vs Laparotomy. Available from: www.Obgyn.Net/
Pregnancy-Birth/Page/Pb/Articles/El-Tabbakh-Tubel-Ectopic.
• Fertility outcome: The concern for future fertility poses 11. Xiang XD, Tane YQ, Mao JFA. Comparison of laparoscopic
a debate as there is a certain amount of damage to the surgery and laparotomy in the treatment of ectopic pregnancy.
lumen. But both methods of surgery have had Singapore Med J 1999 Feb;40(2):88-90.
comparable pregnancy outcomes. 9,13,14,18 12. Gray DT, Thorburn J, Lundorf P, et al. A cost effective study of
• Convalescence: Minimal access surgery has lead to a a randomized trial of laparoscopy versus laparotomy. Lancet
1995 May 6;345(8958):1139-43.
better quality of life in term of shorter hospital stay, 13. Clasen K, Camus M, Tournaye H, et al. Ectopic pregnancy:
faster recovery, decreased need for analgesics and Let's cut ! Strict laparoscopic approach to 194 consecutive cases
cosmetically better scar. 10,14,15 and review of literature and alternatives. Human Reproduction
1997;12(3);596-601.
CONCLUSION 14. Murphy AA, Nager CW, Wujek JJ, Kettel LM, Torp VA,
Chin HG. Operative laparoscopy versus laparotomy for the
After critiquing several articles published over the past few management of ectopic pregnancy: A prospective trial. Fertil
years, the overview of literature confirms that minimally Steril 1992 Jun;57(6):1180-85.
access surgery is safe, effective and economical when 15. Sagiv R, Debby A, Sadan O, Malinger G, Glezerman M, Golan
compared to open laparotomy as the surgical treatment for A. Laparoscopic surgery for extrauterine pregnancy in hemo-
ectopic pregnancy. It should be considered as the gold dynamically unstable patients. J Am Assoc Gynecol Laparosc
2001 Nov;8(4):529-32.
standard method in managing ectopic pregnancies. 16. Chapron C, Querleu D, Crepin G. Laparoscopic treatment of
ectopic pregnancies: A one hundred cases study. Eur J Obstet
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deaths in the United Kingdom 1994-1996. Norwich: Stationery
Office, 1998. ABOUT THE AUTHOR
6. Burhart MA, Mahens H, Magee E, Poultry JL. Treatment of Shereen Pradeep Kumar
ectopic pregnancy by means of laparoscopy. Fertil Strile 1980;
33:411-14. Registrar, Lakeshore Hospital and Research Centre, NH-47 Bypass
7. Seeber BE, Barmhart KT. Suspected Ectopic Pregnancy. Obstet Maradu, Nettoor PO, Kochi-682040, Kerala, India, e-mail:
Gynecol 2006;107:399-413. shereenkumar@gmail.com
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